Journal of Urgent Care Medicine

FDA Keeping Tabs on Montelukast Suicide Risk

The Food and Drug Administration (FDA) presented the preliminary results of new research on montelukast at the American College of Toxicology meeting recently, describing potential side-effect risks for the oral asthma drug. Montelukast may be leading to mental health conditions and suicide by attaching to multiple brain receptors that are involved in psychiatric functioning, researchers say. According to Reuters, thousands of patients have reported neuropsychiatric episodes, prompting the FDA to launch a comprehensive investigation and …

Cannabis Present In Rising Number of Suicide Reports

A study in JAMA Network Open examined the presence of cannabis in suicide cases, as reported to US poison centers from 2009 through 2021. Researchers found intentional, suspected suicidal cannabis exposures increased by approximately 17% annually. According to national data, 18,689 exposures were reported in the time frame, and nearly all (96.5%) cases involved exposure to more than 1 substance in addition to cannabis. Overall, 9.6% of exposures resulted in death or major adverse outcomes, …

Are You Vigilant for Signs Patients May Be Suicidal?

Recent suicides by high-profile celebrities are a reminder that most of us never know what struggles someone is dealing with. While it may be especially surprising when the person is someone the public perceives to “have it all,” a new report from the Centers for Disease Control and Prevention reveals that suicide is far too common, and becoming more so. There was a 25% increase in suicide between 1999 and 2016 in the United States, …

Treating the Self-Harming Patient in the Urgent Care

JOHN SHUFELDT, MD, JD, MBA, FACEP He watched her walk through the door at the end of a long, busy day. She was an attractive, well dressed, athletic-looking young lady with a warm smile, the kind of girl he’d want his teenage son to date someday. “Slam dunk,” he thought. “This will be a quick visit and I’ll still get out on time.” The front office team registered her quickly. He suspected that they, too, …